Healthcare Provider Details

I. General information

NPI: 1427216498
Provider Name (Legal Business Name): VERONIKA IFIGENIA VOYAGES PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2008
Last Update Date: 04/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 E 161ST ST
BRONX NY
10451-3535
US

IV. Provider business mailing address

375 S END AVE #29F
NEW YORK NY
10280-1014
US

V. Phone/Fax

Practice location:
  • Phone: 718-579-2500
  • Fax:
Mailing address:
  • Phone: 917-704-0040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number68018276
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: